Organization
ALLERGY EAR NOSE AND THROAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO ROBERT CONSIGLIO M.D. (OWNER)
(630) 675-6700
Entity
Organization
Contact information
Practice address
5701 OVERSEAS HWY, UNIT 17, MARATHON, FL 33050-2784
(630) 675-6700
(305) 743-2115
Mailing address
5701 OVERSEAS HWY, UNIT 17, MARATHON, FL 33050-2784
(630) 675-6700
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
ME101216
FL
Other
Enumeration date
11/20/2009
Last updated
06/03/2010
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